Contract Details
Encore Rehabilitation, Inc.
Facility name
Encore Rehab of Orange Grove
Provider ID
P000008723
NPI
1407981475
Tax ID
631225408
Effective Date
9/1/2019
Last Updated
9/12/2019
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
15476B Dedeaux Road
Gulfport, MS 39503
United States
County
Harrison
Phone
2285393232 (Phone)
Billing Details
Address
251 Johnston Street SE
3rd Floor
Decatur, AL 35601
Billing Phone
2563409708
Specialty Type
Physical Therapy
Map
Address